Organization · Type 2 NPI

Omni Dermatology Olive LLC

Specialist · Glendale, AZ

NPI number 1669914172 Active

Practice location

5700 W Olive Ave, Ste 101
Glendale, AZ 85302-3147

Call (602) 559-5470 Map

Fax (602) 559-5471

Mailing address

4840 E Indian School Rd, Ste 102
Phoenix, AZ 85018-5500

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1669914172

Omni Dermatology Olive LLC's National Provider Identifier is 1669914172, issued on Nov 15, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendale, AZ. The record was last updated on Nov 15, 2016.